Paraesophageal hernia with incarceration of the gastric antrum and duodenal bulb: a case report

BMC Research Notes

Yusuke Nomura¹  Nobuhiro Takeuchi¹ 

[1] Department of Gastroenterology, Kawasaki Hospital, 3-3-1, Higashiyama-cho, Kobe, Hyogo 652–0042, Japan

关键词: Surgery;    Incarceration;    Paraesophageal hernia;   

Others  :  1140875
DOI  :  10.1186/1756-0500-6-451

 received in 2013-05-15, accepted in 2013-11-08,  发布年份 2013

【 摘 要 】

Background

In cases of esophageal hernia, incarceration of peritoneal organs other than the stomach is rare.

Case presentation

An 84-year-old female was admitted to our institution with a complaint of nausea and vomiting. Abdominal computed tomography revealed an esophageal hiatal hernia with incarceration of the gastric antrum and duodenal bulb. Gastrofluorography under gastroendoscopy confirmed prolapse of the antrum and duodenal bulb into the esophageal hernial sac. Although gastroendoscopy guided repositioning of the prolapsed organs was successful, reprolapse occurred immediately. Therefore, surgical treatment was indicated. The gastric antrum and duodenal bulb were associated with a paraesophageal hernia. Therefore, they were repositioned, and passage from the duodenal bulb to the descending portion of the duodenum was improved.

Conclusion

We report a rare case of paraesophageal hernia with incarceration of the gastric antrum and duodenal bulb.

【 授权许可】

   
2013 Takeuchi and Nomura; licensee BioMed Central Ltd.

【 图 表 】

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